Individual ProviderAmber Nicole DemeolaMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address680 NW Gilman Blvd Ste A, Issaquah, WA 98027-2454(425) 296-2526(909) 783-2746PECOS EnrollmentBased on the most recent information from CMS, provider Amber Nicole Demeola does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1679184808Provider TypeIndividualFull NameDemeola, Amber NicoleGenderFemaleSole ProprietorYesEnumeration Date8/11/2020Last Updated8/11/2020Contact InformationPractice LocationPractice Address680 NW Gilman Blvd Ste A, Issaquah, WA 98027-2454Phone(425) 296-2526FaxUnlisted FaxMailing LocationMailing Address12853 109th Ave NE, Kirkland, WA 98034-6301Phone(909) 783-2746FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225700000XPrimaryDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer